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Individual

DR. MICHAEL ELLERY FARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-0001
(253) 968-0758
Mailing address
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-0001
(253) 968-0758

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7712
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7712
HI

Other

Enumeration date
03/17/2006
Last updated
04/02/2019
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